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Q I . Define each of the following terms and describe how they could potentially have an impact in your workplace:
• Diversity
• Cultural awareness
• Cultural safety
• Cultural competence
• Direct and Indirect Discrimination
Q2. List the six (6) ways that residents and/or colleagues at your clinic or hospital may be impacted from diverse cultures.
Q3. List three (3) factors that may lead to communication misunderstandings or other difficulties in relation to social and cultural diversity.
• Explain why these misunderstandings may occur
• Explain the impact these misunderstandings may have on a workplace and the people it serves
• What effective strategies you would use to communicate in the most efficient way possible during such difficulties?
04. Give three (3) examples of ways a clinic or a hospital can be a safe and inviting place for people from all backgrounds.
Q5. Give one (1) example of how Australia is diverse in the following fields. Discuss how these different types of diversity impact work and life in Australia.
• Politically diverse
• Socially diverse
• Economically diverse
• Culturally diverse
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Q6. Laws: Briefly summarise the Acts listed below as well as outline who it protects and provide a basic example of what would be considered discrimination under each Act?
imNVho does it Provide an example of a case that can be
rotect? considered as discrimination under this law.
The Racial Discrimination Act 1975
The Sex Discrimination Act 1984
Australian Human Rights Commission
Act 1986
The Disability Discrimination Act 1 992
Racial Hatred Act 1995
Age Discrimination Act 2004
Equal Opportunity for Women in the
Workplace 1999
Q7. -Differences in people that might make me uncomfortable-
In regard to above statement, try to think of two (2) types of people that you may feel
awkward/uncomfortable around. There can be many reasons why we might feel awkward around people. You might not be accustomed to being around certain groups of people. or you may even have grown up in a family/school/community that brought you into conflict with people who were different in some way. Remember that there are many areas of life where differences can be expressed. You may want to spend some time thinking about how those differences have made you feel uncomfortable in the past. Sometimes it is difficult to identify assumptions because we think of them as true, or pay little attention to the way we think. This may not be an easy task, but it can be valuable to identify preconceptions that you did not realize you had. Now answer the following questions for each person:
Person I Person 2
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Describe the type of person you
feel uncomfortable around.
How are they different from you?
Why do you think you feel
uncomfortable around them?
Do you think you feel this way as a result of the impact of the diverse practices or personal experiences? Reflect on your own ability to work inclusively and with understanding of others in less than 100 words.
list 2 simdarities between
yourself and this group of people
List 2 methods that you could
use to understand these people
better and feel more comfortable
around them?
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Q8 Answer the following questions briefly.
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Q8. Answer the following questions briefly.
a) List two (2) positive ways that you can improve your own self, work with awareness of own limitations and social awareness and embrace diversity around you in a structured manner.
b) List an instance when you may have discriminated against somebody else (regardless of whether it was accidental or not).
c) List an instance when you have felt discriminated against from somebody else (regardless of whether it was accidental or not) and how did it make you feet?
Q9. Read the case studies provided here. Identify what kind of discrimination is occurring and name the Aces involved in each case.
Case I
Robyn worked as a nurse for a well-known Hospital. She did not receive the same benefits as her male colleagues such as a fuel card or mobile phone. When she drew attention to this she was demoted to a lower position and told that the male co-workers disliked taking orders from a woman so she was ineffective. Identify what type of discrimination is occurring and name the Aces involved in the case.
Case 2
By the time Maria had turned 22, she had completed her Bachelors in Nursing and enjoyed her position as a head nurse. She had to change jobs when she moved cities, so she started working as a Level I nurse. After I year into her job, the head nurse retired and she applied for the position that was now available. The position was given to her 3 I -year-old colleague, Adam, who had been working at the facility for hardly three months and had no formal qualification. When she questioned the owner about his decision to give Adam the position, the owner said he thought Adam was more suited to the position because of his maturity.
Identify what type of discrimination is occurring and name the Aces involved in the case.
Case 3
During his meal break, Henry overheard laughing in the staff room and a loud conversation between three of his fellow workers. They were making derogatory and racist comments about an Indigenous Australian female athlete. With an Indigenous Australian background himself, Henry felt personally offended and insulted. He lodged a complaint to his employer against the three fellow workers. After the complaint, his employer moved
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his fellow workers. They were making derogatory and racist comments about an Indigenous Australian female
athlete. With an Indigenous Australian background himself, Henry felt personally offended and insulted. He
- ----'-'-- -- his employer against the three fellow workers. After the complaint, his employer moved
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him to a different location so he would feel more 'comfortable' with the work environment. Shortly after he arrived the position to which he was moved became redundant and the employer would not find him an alternative position.
Identify what type of discrimination is occurring and name the Act/s involved in the case.
Case 4
Boris has worked in customer service and call centres for the past ten years. Recently he applied for a job in telemarketing in which he was by far the most experienced candidate. During the interview, Boris mentioned that he was 90% blind. The manager kindly said that it would be impossible to accommodate somebody like Boris and wished him good luck in finding another suitable position.
Identify what type of discrimination is occurring and name the Act/s involved in the case.
Q 10. You are an Enrolled Nurse for a North Melbourne Clinic. During the first six months of your employment you have noticed that there seems to be a culture for making fun of the way the international residents speak, and some staff members even dislike serving residents and other staff that come from non-English speaking backgrounds.
List 2 ways of promoting the understanding towards international residents and staff members?
Q I I. Kim was a part time nurse in the ICU. In a recent road traffic accident, she injured her back. Now she cannot work for long hours in a day and cannot participate in activities that require manual handling and weight lifting. She can only perform light duties (paper/desk work). After her accident, she was in lot of distress thinking she will lose her job and will not be able to perform her regular duties. When she received good news that she has been hired as a part time desk nurse, it really made her happy and content.
Observe the reasonable adjustments have been made here to enable Kim to perform her job and fill in the table below:
Identify an example of the following potential needs that Kim may have as a person who has been marginalized in this scenario.
Protective factors
Physical. mental, emotional factors
impacts of discrimination, trauma, exclusion and
negative attitudes.
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Q 1 2. Explain any two social, political and economic issues affecting Aboriginal and/or Torres Strait Islander people.
Q13. In regard to communicating with people from diverse backgrounds, all of the following are true, except:
a) Respect should be shown while communicating with people from diverse backgrounds
b) Use verbal and nonverbal communication to establish, develop and maintain effective relationships, mutual trust and confidence
c) It is better to refer the patient to another clinic in case there is a language barrier
d) Seek assistance from professional translator service centers
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Q14. In regard to seeking assistance from interpreters or other persons according to client's communication needs, read following statements and circle true/false appropriately. To achieve a satisfactory result in this question, you must provide correct response to at least two answers of the following statements.
I. When professional interpretation is not possible, often arranging the family member to act as an interpreter is the next best option. (True/False)
2. Cultural interpreters can play a crucial rote by facilitating verbal and nonverbal communication and 'mediating' concepts and cultural practices as needed. (True/False)
3. An interpreter works with spoken language, often translating and mediating between two languages in both directions, on the spot. (True/False)
4. Professional in-house interpreters. Interpreters from interpreter services, On-Call Interpreters, Bilingual health care Staff, Family Members of client, Telephone and Video Based Interpreter Services are a few examples of interpreters which can be useful in meeting client's communication needs. (True/False)
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SCENARIO I
Wayan works for a clinic in Sydney. His family has an Indonesian background. His manager is constantly rude to him and although he is 32 years old, he is often referred to as 'boy'. His boss sometimes makes comments about Wayan's appearance as well as making him clean the toilets at the end of the day (which is not part of his job description). Wayan is afraid that if he left this job he would have difficulty finding another job.
When Wayan asked his boss if he could receive leadership training, his boss replied 'Sorry, but we don't think you are management material'. In addition to this, Wayan's fellow workers who began working with the organization at the same time as he did received a considerable amount of workplace training and were already promoted.
Wayan has heard from other nurses that his boss is not a fan of overseas workers. It is quite clear that his manager and the workplace has treated Wayan unfairly purely based on his racial background.
I. What can Wayan do about this situation?
2. What Laws/Acts has Wayan's manager broken?
3. What can the clinic do to support Wayan's sense of identity?
4. If Wayan reports these events, what might the organization and/or manager be required to do?
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SCENARIO 2
Jenny is an Enrolled nurse who was about to start her lunch time medication round at 12:00 noon. She required a fruit puree to assist with the administration of medication (to give to residents who were on crushed medications). She went to the kitchen to get a fresh fruit puree. While in the kitchen, Jenny heard Mary's (chef) entire conversation. During this time, Jenny also observed all mentioned further in this scenario.
-The cultural mix of our facility has changed over the last few years from a mono-cultural environment to a culturally diverse one and I am not happy about having to deal with the dietary implications. There so many non-culturally based food intolerance problems also and menu planning has become more difficult. The residents may as well go out and get their own food if they can't just eat what I make. I like the residents to have proper food with proper taste and I don't have the time to make three different meals!-.
There have been two recent problems. The first was where beef stock was used in a vegetable soup which was served to all the residents when three of them were vegetarian. A staff member only found out when she had some of the soup for her lunch and Mary said that beef stock really makes a difference to die taste. The residents are not aware this has occurred. In the other case, small pieces of bacon were in a quiche served to a man who does not eat pork, although he is not a vegetarian. He removed them and mentioned it to his family who were unhappy about it.
Mary is a great cook who has been working in the service industry for 15 years. She specializes in making a range of delicious meals for the residents and encourages them to experiment with flavor and different tastes.
5. What is the core of the problem?
6. What strategies can be used to eliminate bias and discrimination?
7. When you identified these issues, you have a responsibility to apply an appropriate response within your scope of practice and ensuring needs of your residents are met. What are your (Enrolled Nurse) responsibilities in reporting these issues? Who would this need to be reported to and who are the appropriate people to seek assistance?
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SCENARIO 3
You are an Enrolled nurse in an Age Care facility. You have recently been joined by a new Enrolled nurse colleague. He is from a different cultural and linguistic background and you are aware that in his country of origin he held quite a senior position in education but here in Australia he is working as an Enrolled nurse. There are tensions between him and the rest of the team. You do not understand why he treats you and your female Enrolled nurse colleagues in a certain way. He appears not to understand how your workplace functions.
8. Within your role and scope of practice as an Enrolled Nurse, mention any 3 personal and organizational strategies each that you can you use to help create better mutual understanding and working relationships?
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SCENARIO 4
Fatima is an activity worker at a day center program for clients with intellectual disabilities. Fatima is also Muslim. During the day, she can't be found at certain times and you find that you are doing extra work because for those 5 minutes. When you speak to Fatima about the times she disappears, she tells you that she is praying.
9. How can you and Fatima work together and deal with her time off to pray?
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SCENARIO 5
' Rawa has started work as a support worker in a day community centre. She notices that Debra, one of the other workers, often makes negative comments about her scarf and her clothing to other staff. Once, Rawa overhears Debra say, People like that should go back to their own country. They're all troublemakers. Debra never makes these comments directly to Rawa, so Rawa decides to just ignore Debra, even though she is very upset by her comments.
10, How could workers work in a culturally diverse environment?
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SCENARIO 6
You have a patient, Tom. whose ancestors are Aboriginal and he refuses to take his medication as Aboriginal people use a range of remedies — wild herbs, animal products, steam baths, clay pits, charcoal and mud, massages, chants etc. He is being stubborn and uncooperative.
I L Identify issues that may cause communication misunderstandings or other difficulties. What can be done to respond in a sensitive manner towards this issue?
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SCENARIO 7
You work for a Malaysian family to provide regular in-home rehabilitation support for their young son who has cerebral palsy. He uses an electric wheelchair for mobility, and requires constant supervision and care. He cannot make decisions for himself, however, he enjoys playing with his electric wheelchair_
The family ask you to respect their culture by taking your shoes off when you are inside their house. You know your workplace policy and OHS/WHS guidelines state you should not do this. But you are aware of the importance of respecting different cultures_
12. What social and cultural diversities you are considering in this situation? What should you do, and why?
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PROJECT I
Reflect on your own cultural perspectives and biases, then address the following questions.
Please ensure that the word limit for each answer is no more than 100 words.
I. What are the attitudes, languages, prejudices and structures that make up your culture?
2, Give one (I) example of a cultural perspective or bias you hold. Explain how this cultural perspective or bias may limit your practice as an Enrolled Nurse.
3. Explain how you would work with or address the perspective or bias you identified in the example above, to ensure it does not negatively impact on your practice as an Enrolled Nurse socially.
4. Reflect on your ability to work inclusively and with an understanding of others.
a) Identify one (I) aspect of practice you do well.
b) Identify one (I) aspect of practice you could improve.
c) Explain how could you improve the aspect of practice you've identified?
S. Think about the experiences you have had with people from cultures other than your own. Explain how these experiences impacted on your personal behavior, relationships with others, and perceptions and expectations of others. Give three (3) examples.
6. Identify the skills, knowledge or attitudes you need to develop to ensure cultural competency in your role as an Enrolled Nurse.
7. Think about the experiences you have had with people from different areas of diversity.
• Give 2 examples of where you have recognized and respected the needs of people from diverse social and cultural backgrounds in genera! and
• Give I example of impacts on Aboriginal and Torres Strait Islander people specifically.
• Backgrounds may include key areas of diversity such as culture, race, ethnicity, spiritual beliefs, religion, disability, gender (transgender, intersex, sexual orientation/sexual identity - lesbian,
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religion, dis—ibility, gender (transgender, intersex, sexual orientation/sexual identity - lesbian,
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gay, bisexual, heterosexual). Include how you identified their cultural needs, its characteristics and what you did to ensure their cultural needs were respected.
8. Explain briefly and give examples of resources that support individuals and organizations to embrace and respond to diversity. Explain the use of language/cultural interpreters and imagery in your response.
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PROJECT 2
Write a 700-word essay on the following key aspects of Australia's Aboriginal and Torres Strait Islander cultures:
• Social, Political and Economic issues that affect the health of Aboriginal and Torres Strait Islanders
• Own culture, western systems and structures and how these impact on Aboriginal and or! Torres Strait islanders and their engagement with services.
Please note that you will be graded for your structure of the essay. Make use of the table below to ensure you do not exceed the word limit.
Introduction 200 words
Body 400 words
Conclusion 100 words
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